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FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
57843
Service:
FM
Call Sign:
KNUC
File Number:
0000086586
FRN:
0022840409
Eligibility Status:
Eligible
Date Submitted:
09/30/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SEATTLE FCC LICENSE SUB, LLC

Doing Business As: SEATTLE FCC LICENSE SUB, LLC

3415 UNIVERSITY AVENUE, WEST

ST PAUL, MN 55114

United States

 +1 (651) 642-4334 rvandewiele@hbi.com

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 

Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan KNUC's main antenna will be impacted by the repack work for KWDK, and therefore KNUC will need to use an auxiliary antenna during the repack work. The old KNUC auxiliary system is only 1 kW which does not provide at least 80% coverage.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model BW1000
Year 2010
Type Solid State
Solid State Cooling Air Cooled
Model Type Analog
Solid State Power Capacity 1 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model GV10-D
Transmitter Type Solid State
Solid State Cooling Air Cooled
Model Type Analog
Solid State Power capacity 10 kW
Justification for New Transmitter To increase coverage for aux site
Does the transmitter require the purchase of a new HD Importer? No
Does the transmitter require the purchase of a new HD Exporter? No

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs Does the transmitter installation require an Additional Exciter? No
Does the transmitter installation require any additional transmitter installation costs? Yes
Does the transmitter installation require a Transmitter Building Site Survey/Installation? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
Other Electrical Service No
HVAC Service Does the replacement transmitter require HVAC Service? No
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Other Transmitter-Related Expenses Does the replacement transmitter require a Remote Control? Yes
Does the replacement transmitter require an RDS Encoder? No
Does the replacement transmitter require Audio Processing? Yes
Audio Processing Analog/HD Basic

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Generator and transfer switch

MTU Diesel Generator and automatic transfer switch

Electrical labor

Move generator and fuel tank and related labor

HVAC

HVAC

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Ownership Owned
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Circular
Type Cross Dipole
ERP: 1.1 kW
Manufacturer
Model Jampro
Year 2010

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
Is antenna shared? Yes
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Circular
Type Cross Dipole
ERP: 17.1 kW
Manufacturer
Model ERI SHPX-6AC-HW-SP
Year 2019
Justification for New Antenna To increase coverage above 80% on backup site

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported Upper and lower frequency
Frequency 92.5 MHz - 98.9 MHz
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes
FM Band Pass Filters Do you require an FM band pass filter? No
Notch Filter Do you require a Notch filter? No
De-Icers Do you require De-Icers? No
Radomes Do you require Radomes? Yes
Number of bays 6

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Freight

Costs of delivering materials

Sales tax

Tax on the equipment and services

Antenna Tune

Test of antenna before placing stations on air for the first time

Mounting Pole

FM Antenna stand-off mounting pole

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 0
Length 250 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Air
Diameter 3 inches
Number of parallel runs 0
Length 275 feet per run
Justification for New Transmission Line This line feeds a combined antenna system
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? Yes
Does the Installation of the Transmission Line require additional or replacement Inside RF system elbows, fitting, hangers, etc.? Yes

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Freight

Pro rata percentage of freight charged on invoice for materials

Taxes

Pro rata percentage of taxes charged on invoice for materials and services

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
Tower Use Primary (Main)
Ownership Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1032902
Coordinates (NAD83) Latitude (NAD83) 47° 32' 38.2" N-
Longitude (NAD83) 122° 06' 30.8" W-
Overall Structure Height 227.69 feet
Support Structure Height 224.73 feet
Ground Elevation Above Mean Sea Level (AMSL) 1441.91 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner RATELCO PROPERTIES CORPORATION
Date Constructed 09/22/1996

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
4630 KQMV FM
57843 KNUC FM

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Structural analysis

Structural analysis of tower

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Outside RF consulting Engineering Services Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility No
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility No
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility No
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility No
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 10
Justification Assistance with application for FCC TV repack reimbursement

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Auxiliary Antenna Applications

Assist with preparation of auxiliary antenna applications

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No
1 pair IP-only Codecs for fiber, internet or IP microwave systems No

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $161,708.35 $122,289.84 N/A $122,289.84 N/A
Total for all systems $321,422.80 $242,742.18 N/A $232,567.18 N/A
Primary Transmitter GV10-D $161,708.35 $122,289.84 $122,289.84
Transmitter Installation $70,500.00 $21,654.15 N/A $21,654.15 N/A
Other Transmitter-Related Expenses Remote Control $2,400.00 $834.43 N/A $834.43 N/A
HVAC $1,806.75 $1,806.75 N/A $1,806.75 N/A
Generator and transfer switch $22,366.15 $22,366.15 The former site had an emergency generator but the new site does not. The generator at the old site is still used by KRWM main transmitter. $22,366.15 N/A
Air Cooled Solid State FM Transmitter 7 - 10 kW Analog $58,175.00 $67,357.05 At the time of the estimate all costs were not available, including freight. $67,357.05 At the time of the estimate not all of the costs were available. This is the updated amount of the costs for the transmitter.
Audio Processing - Analog/HD basic $4,750.00 $6,560.86 Needed for analog and HD audio processing, price based on manufacturer's amount. $6,560.86 N/A
Electrical labor $1,710.45 $1,710.45 N/A $1,710.45 N/A

Components

Actual Information Description File Name
Transmitter Installation

Component Description:
3/8 pltd steel rod cplg. To be split between KQMV and KNUC.
Amount:
$14.17

Component Description:
GA Copper .032" copper strap 4" 50 ft. Purchaser required to pay 10% sales tax to State of WA which is added to invoice.To be split between KQMV and KNUC.
Amount:
$162.00

Component Description:
Spool of Cat 6 Un-shielded and spool of Cat 6 shielded stranded. To be split between KQMV and KNUC.
Amount:
$283.22

Component Description:
BR plug, female gas shut off, reducing coupling, barstock. To be split between KQMV and KNUC
Amount:
$24.98

Component Description:
Additional electrical labor; rack feeds, move transmitter, copper tape install, permits. To be split between KQMV and KNUC.
Amount:
$2,907.76

Component Description:
Tripp Lite 1500VA Smart UPS Back Up, Sine Wave, 1350W Line-Interactive, 2U Rackmount, Extended Run Option, LCD, USB, D89. To be split between KQMV and KNUC.
Amount:
$324.62

Component Description:
Electrical labor - install surge protector, prepare holes for hardline to switch, cost of blades. To be split between KQMV and KNUC.
Amount:
$425.00

Component Description:
Switch/router; remote control. Purchaser required to pay sales tax to State of WA which is added to the invoice. To be split between KQMV and KNUC
Amount:
$390.22

Component Description:
Washington State and City of Bellevue sales tax payments. To be split between KQMV and KNUC.
Amount:
$16.20

Component Description:
Steel socket HD cap screws and nylon flat washers. To be split between KQMV and KNUC.
Amount:
$9.88

Component Description:
Washington State and City of Bellevue sales tax payments. To be split between KQMV and KNUC.
Amount:
$39.02

Component Description:
Electrical labor: install coax, fuse, feeder, transfer switch, panel, transm feeds, rack feeds, copper strap, messenger wire, conductors; relocate transmitters. Split KQMV and KNUC
Amount:
$14,751.33

Component Description:
Electrical labor - offload and move generator, fuel tank, antenna equipment, 2 forklift rentals. To be split between KQMV and KNUC.
Amount:
N/A

Component Description:
Allen Tel Products - Strip VIP 5ft, 3ft, 30ft, 15ft BU. To be split between KQMV and kNUC.
Amount:
$59.51

Component Description:
Panduit Corp Duct, Panduit Corp 3-in lt gray cover. To be split between KQMV and KNUC.
Amount:
$44.88

Component Description:
Stronghold cable tie. To be split between KQMV and KNUC.
Amount:
$1.71

Component Description:
Uploaded in error
Amount:
N/A

Component Description:
HVAC. To be split between KQMV and KNUC.
Amount:
N/A

Component Description:
Extra elect labor. Install tubing, duplex receptacles, cable tray, branch circuit, pipe, new circuit outlet. To be split between KQMV and KNUC.
Amount:
$1,892.63

Component Description:
2 - 12R IEP 120-10 surge protector. To be split between KQMV and KNUC
Amount:
$276.69

Component Description:
12-24 screws and 12-24 cage nuts. To be split between KQMV and KNUC.
Amount:
$30.33
Other Transmitter-Related Expenses Remote Control

Component Description:
3/8" spring link, outlet surge protector, UV black mounting pads. To be split between KQMV and KNUC.
Amount:
$30.04

Component Description:
Hardware and plywood. To be split between KQMV and KNUC
Amount:
$39.49

Component Description:
Smartonline double-conversion UPS. To be split between KQMV and KNUC.
Amount:
$457.29

Component Description:
Electronic tools; soldering equipment. To be split between KQMV and KNUC.
Amount:
$153.55

Component Description:
Douglas fir, cedar, plywood. To be split between KQMV and KNUC
Amount:
$115.62

Component Description:
Invoice uploaded in error.
Amount:
N/A

Component Description:
100 ft. laser measure. To be split between KQMV and KNUC.
Amount:
$38.44

Component Description:
Invoice uploaded in error.
Amount:
N/A

Component Description:
Invoice uploaded in error.
Amount:
N/A

Component Description:
Invoice uploaded in error.
Amount:
N/A
HVAC

Component Description:
HVAC. To be split between KQMV and KNUC.
Amount:
$1,806.75
Generator and transfer switch

Component Description:
MTU Diesel Generator. Cost to be split between KQMV and KNUC.
Amount:
$20,468.04

Component Description:
ATS-OTH Automatic Transfer Switch. Cost to be split between KQMV and KNUC.
Amount:
$1,898.11
Air Cooled Solid State FM Transmitter 7 - 10 kW Analog

Component Description:
GV10-D and supporting equipment
Amount:
$67,357.05
Audio Processing - Analog/HD basic

Component Description:
HP Aruba SFP transceier Module for Office Connect, MACsec Advanced Module. To be split between KQMV and KNUC.
Amount:
$38.34

Component Description:
IP Audio Codec - One Stereo, freight. To be split between KQMV and KNUC.
Amount:
$844.36

Component Description:
IP Link 200 Package, IP Audio Codec-One Stereo, freight. To be split between KQMV and KNUC.
Amount:
$5,013.29

Component Description:
Tripp Lite Duplex Multimode Fiber Patch Cable. To be split between KQMV and KNUC.
Amount:
$22.30

Component Description:
Tripp Lite Duplex Multimode Fiber Patch Cale. To be split between KQMV and KNUC.
Amount:
$182.00

Component Description:
Hpe 1920S 24G 2Sfp Switch. To be split between KQMV and KNUC
Amount:
$244.20

Component Description:
HP Aruba transceiver Module for Office Connect HPE Aruba 2930M. To be split between KQMV and KNUC.
Amount:
$36.42

Component Description:
Tripp 405 ft fiber patch cable. To be split between KQMV and KNUC.
Amount:
$179.95
Electrical labor

Component Description:
Electrical labor - offload and move generator, fuel tank, antenna equipment, 2 forklift rentals. To be split between KQMV and KNUC.
Amount:
$1,710.45

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $59,674.75 $66,498.25 N/A $62,448.25 N/A
Total for all systems $321,422.80 $242,742.18 N/A $232,567.18 N/A
Primary Antenna ERI SHPX-6AC-HW-SP $59,674.75 $66,498.25 $62,448.25
Mounting Pole $5,900.00 $5,900.00 N/A $5,900.00 N/A
Antenna Tune $1,127.50 $1,127.50 N/A $1,127.50 N/A
Freight $3,020.00 $3,020.00 N/A $3,020.00 N/A
Radomes (per bay) $8,100.00 $4,050.00 N/A $0.00 N/A
Side Mount antenna brackets $450.00 $450.00 N/A $450.00 N/A
New FM combiner, cost per channel (depends on power input and min. frequency separation) $21,782.50 $19,817.75 N/A $19,817.75 N/A
Sweep test of existing antenna $5,730.00 $6,625.00 Cost from provider was greater than estimate. $6,625.00 Cost from provider was greater than the estimate. To be split between KQMV and KNUC.
High Power 11 kW - 25 kW Circularly-polarized $7,900.00 $19,843.25 Cost includes antenna and radomes rather than having radomes broken out separately. $19,843.25 Cost includes radomes.
Sales tax $5,664.75 $5,664.75 N/A $5,664.75 N/A

Components

Actual Information Description File Name
Mounting Pole

Component Description:
FM antenna stand-off mounting pole. To be split between KQMV and KNUC.
Amount:
$5,900.00
Antenna Tune

Component Description:
Third party test of the antenna before stations KQMV and KNUC go on air for first time. To be split between KQMV and KNUC
Amount:
$1,127.50
Freight

Component Description:
Pro rata portion of freight costs for antenna materials acquired under invoice. To be split between KQMV and KNUC.
Amount:
$3,020.00
Radomes (per bay) Information not provided.
Side Mount antenna brackets

Component Description:
Custom brackets. To be split between KQMV and KNUC.
Amount:
$450.00
New FM combiner, cost per channel (depends on power input and min. frequency separation)

Component Description:
FM channel combiner. To be split between KQMV and KNUC
Amount:
$19,817.75
Sweep test of existing antenna

Component Description:
FM system sweep. To be split between KQMV and KNUC
Amount:
$6,625.00
High Power 11 kW - 25 kW Circularly-polarized

Component Description:
SHPX-6AC-HW-SP antenna and Radomes. To be split between KQMV and KNUC
Amount:
$19,843.25
Sales tax

Component Description:
Pro rata portion of tax applicable to antenna materials and services outlined on invoice. To be split between KQMV and KNUC.
Amount:
$5,664.75

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $13,104.70 $26,441.09 N/A $26,441.09 N/A
Total for all systems $321,422.80 $242,742.18 N/A $232,567.18 N/A
Primary Transmission Line $13,104.70 $26,441.09 $26,441.09
Taxes $1,416.19 $1,416.19 N/A $1,416.19 N/A
Freight $754.49 $754.49 N/A $754.49 N/A
Interior RF Systems: Elbows, fitting, hangers, etc. $4,678.52 $4,678.52 N/A $4,678.52 Line item actual cost is higher than estimated cost but subtotal cost is lower than subtotal predetermined estimate. To be split between KQMV and KNUC.
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators $6,255.50 $6,255.50 N/A $6,255.50 N/A
Flexible Air Transmission Line - dielectric, 3" $0.00 $13,336.39 Shared with KQMV $13,336.39 Line item actual cost is higher than estimated cost but subtotal cost is lower than subtotal predetermined estimate. To be split between KQMV and KNUC

Components

Actual Information Description File Name
Taxes

Component Description:
Pro rata portion of taxes charged on materials and services. To be split between KQMV and KNUC.
Amount:
$1,416.19
Freight

Component Description:
Pro rata portion of freight costs for materials purchased. To be split between KQMV and KNUC
Amount:
$754.49
Interior RF Systems: Elbows, fitting, hangers, etc.

Component Description:
Labor to install two antenna coax switches, and materials - clamps, all thread, strut, hardware. Costs to be split between KQMV and KNUC.
Amount:
$1,449.81

Component Description:
RF transmission line fittings. Costs to be split between KQMV and KNUC.
Amount:
$2,111.45

Component Description:
Plan and measure Rigid and install, mileage charge. Costs to be split between KQMV and KNUC.
Amount:
$613.09

Component Description:
Hardware and hardline installation, mileage charge. Costs to be split between KQMV and KNUC.
Amount:
$504.17
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators

Component Description:
Dryline dehydrator. To be split between KQMV and KNUC.
Amount:
$1,062.50

Component Description:
Digital power monitor and alarm, wiring for use with same. Cost to be split between KQMV and KNUC.
Amount:
$1,347.00

Component Description:
Purchase of Altronics Research 10 KW dummy load. To be split between KQMV and KNUC.
Amount:
$1,250.00

Component Description:
10 KW Load, 3 1/8" Ela Flange. Cost to be split between KQMV and KNUC
Amount:
$2,596.00
Flexible Air Transmission Line - dielectric, 3"

Component Description:
Unpressurized coupling, 3-1/8". To be split between KQMV and KNUC
Amount:
$58.65

Component Description:
3-1/8" flange/unflange var 6"-120". To be split between KQMV and KNUC
Amount:
$660.45

Component Description:
Transmission line. Transmission line cost of $25,353.59, less credits of $402.05 and $1280.10 To be split between KQMV and KNUC.
Amount:
$11,835.72

Component Description:
3 1/8" 50 OHM custom line section. To be split between KQMV and KNUC. KNUC receives $.01 less due to rounding.
Amount:
$781.57

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $75,150.00 $10,465.00 N/A $10,465.00 N/A
Total for all systems $321,422.80 $242,742.18 N/A $232,567.18 N/A
Primary Tower GTOWER $75,150.00 $10,465.00 $10,465.00
Tower Rigging Short Tower (less than 500') $73,650.00 $8,965.00 N/A $8,965.00 N/A
Structural analysis $1,500.00 $1,500.00 N/A $1,500.00 N/A

Components

Actual Information Description File Name
Tower Rigging Short Tower (less than 500')

Component Description:
Return visit to tower to de-rig the tower. Costs to be split between KQMV and KNUC.
Amount:
$550.00

Component Description:
Installation of FM antenna and transmission line on tower. Costs to be split between KQMV and KNUC.
Amount:
$8,415.00
Structural analysis

Component Description:
Structural analysis. To be split between KQMV and KNUC
Amount:
$1,500.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $10,340.00 $15,713.00 N/A $9,588.00 N/A
Total for all systems $321,422.80 $242,742.18 N/A $232,567.18 N/A
Outside Professional Services $10,340.00 $15,713.00 $9,588.00
Auxiliary Antenna Applications $1,305.00 $1,305.00 N/A $1,305.00 Additional assistance for auxiliary antenna license applications.
Additional Field Engineering Service, 10 Days $2,325.00 $2,325.00 N/A $0.00 N/A
Form 399 assistance or other Program Management costs $5,000.00 $5,000.00 N/A $1,200.00 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $7,083.00 Legal fees were higher than expected due to technical issues with the FCC website and repeated contact with FCC staff. $7,083.00 Legal fees were higher than expected due to technical issues with the FCC website/form and repeated contact with FCC staff.

Components

Actual Information Description File Name
Auxiliary Antenna Applications

Component Description:
Assist with auxiliary antenna license applications. To be split between KQMV and KNUC.
Amount:
$210.00

Component Description:
Assist in preparation of auxiliary antenna applications and STA application. To be split between KQMV and KNUC.
Amount:
$1,095.00
Additional Field Engineering Service, 10 Days Information not provided.
Form 399 assistance or other Program Management costs

Component Description:
Analysis re: auxiliary antenna to increase power, review and comment re: 6 bay wave proposal, prepare map. To be split between KQMV and KNUC
Amount:
$990.00

Component Description:
Research re: auxiliary antenna installation and azimuth. To be split between KQMV and KNUC.
Amount:
$210.00

Component Description:
Invoice moved to different category.
Amount:
N/A

Component Description:
Assist in preparation of auxiliary antenna applications and STA application. To be split between KQMV and KNUC
Amount:
$1,095.00

Component Description:
Invoice uploaded in error
Amount:
N/A
Prepare/ Review 399 reimbursement form

Component Description:
Legal fees incurred in preparation of Form 399-Eligibility and Form 399-Reimbursement.
Amount:
$901.00

Component Description:
Assist with Form 399, discussions with FCC staff re same.
Amount:
$1,332.00

Component Description:
Assist with Form 399 revisions
Amount:
$148.50

Component Description:
Assist with Form 399.
Amount:
$832.50

Component Description:
Preparation of Form 399-Eligibility and Form 399-Reimbursement. Legal fees were higher than expected due to technical issues with the website and repeated contact with FCC staff.
Amount:
$3,869.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,445.00 $1,335.00 N/A $1,335.00 N/A
Total for all systems $321,422.80 $242,742.18 N/A $232,567.18 N/A
Other Expenses $1,445.00 $1,335.00 $1,335.00
FCC Filing Fees - Form 2100 license to cover application $335.00 $225.00 N/A $225.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A $1,110.00 The cost estimate was based on the predetermined cost, which was incorrect.

Components

Actual Information Description File Name
FCC Filing Fees - Form 2100 license to cover application

Component Description:
Filing fee
Amount:
$225.00
FCC Filing Fees - Form 2100 minor change CP application

Component Description:
FCC filing fee. The cost estimate was based on the predetermined cost, which was incorrect. Payment was made during the government shut down and no filing receipt was generated.
Amount:
$1,110.00

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $321,422.80 $242,742.18 $232,567.18

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Ryan Vandewiele

Vice President


09/30/2020

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Ryan Vandewiele

Vice President


09/30/2020

Attachments

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